Dr. Timothy D. Supan, DMD
Dr. Timothy D. Supan, DMD is a General Practice Dentistry in Gridley, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
205 E Gridley RdGridley, IL 61744-8733
Phone: (309) 747-2213
Fax: (309) 747-3989
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X (IL) |
|---|
Record details
| NPI number | 1053316463 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | June 14, 2005 |
| Last updated in NPPES | July 13, 2026 |
Other providers in Gridley
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Dr. Stephen T. Blue, DDS
205 E Gridley Rd, Gridley, IL 61744-8733 · (309) 747-2213